Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia  

作　　者：Merlin Benzy Rengaraj Venkatesh Vivekanandan Vellam Ramakrishnan Varshini Santhanarajan Odayar 

机构地区：[1]Department of Cataract and IOL Services,Aravind Eye Hospital,Pondicherry,India [2]Department of Glaucoma,Aravind Eye Hospital,Pondicherry,India [3]Department of Molecular and Cellular Biology,Harvard University,Cambridge,MA,USA

出　　处：《Advances in Ophthalmology Practice and Research》2022年第2期25-29,共5页眼科实践与研究新进展（英文）

摘　　要：Purpose:To evaluate the impact of video and verbal counselling on patients'undergoing phacoemulsification under topical anaesthesia.Methods:This is a prospective randomized controlled trial conducted at Aravind Eye Care System,Pondicherry,India.All patients had a 15 min one-on-one verbal counselling covering surgical technique,implant options,anaesthesia and payment options one day prior to surgery.On the day of surgery,patients were randomized into two groups;in the first group,patients were provided with video counselling and in the second group,patients were given verbal counselling prior to undergoing phacoemulsification under topical anaesthesia.Measurements of blood pressure,heart rate,respiration rate,and the Likert-scale anxiety rating were collected at preoperative,perioperative,and postoperative time points.Results:A group of 186 patients(aged 45–70 years)were provided video counselling via portable iPad before firsttime phacoemulsification,and a second group of 186 patients underwent surgery with verbal counselling.Systolic and diastolic blood pressure measurements were lower in both the video and verbally counselled groups during the intraoperative time point.Furthermore,during the intraoperative period,123(66.1%)video counselled patients felt relaxed compared to 119(64%)patients who were provided verbal counselling(P?0.6636).Patient cooperation during surgery was excellent in 76(40.9%)video counselled patients and 67(36%)verbally counselled patients(P?0.3374).25.8%and 21%(P?0.2703)of patients experienced no pain during surgery in the video and verbal counselled groups respectively.Conclusions:Although measures such as pulse rate,respiratory rate and feelings of relaxation did not show significant differences among the two groups of video and verbal counselling,patients marked cooperation during surgery and furthermore,the level of anxiety is most reassuring.

关 键 词：Video counselling Verbal counselling.phacoemulsification Patient cooperation ANXIETY Pain 

分 类 号：R73[医药卫生—肿瘤]